活血化瘀益气汤联合中医特色综合护理治疗急性心肌梗死经皮冠状动脉介入术患者临床研究
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Clinical Study on Huoxue Huayu Yiqi Tang Combined with Chinese Medicine Characteristic Comprehensive Nursing for Patients with Acute Myocardail Infarction Undergoing Percutaneous Coronary Intervention
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    摘要:

    目的:观察活血化瘀益气汤联合中医特色综合护理治疗急性心肌梗死经皮冠状动脉介入术患者的临床疗效。方法:选取160 例行经皮冠状动脉介入治疗的急性心肌梗死患者,随机分为对照组和观察组各80 例。对照组术后给予常规护理,观察组给予活血化瘀益气汤联合中医特色综合护理进行治疗。分别记录2 组临床疗效、护理满意度、生活自理能力评分(Barthel 指数)、焦虑评分(SAS)、抑郁评分(SDS)、住院时间、并发症发生率,并进行对比分析。结果:观察组总有效率、护理满意度、并发症发生率分别为92.50%、93.75%、3.75%,对照组分别为81.25%、82.50%、12.50%,2 组比较,差异均有统计学意义(P<0.05)。治疗后,观察组住院时间短于对照组(P<0.05)。治疗前,2 组SAS、SDS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组SAS、SDS 评分均较治疗前降低(P<0.05),且观察组2 项评分均低于对照组(P<0.05)。治疗前,2 组Barthel 指数比较,差异无统计学意义(P>0.05);治疗后,2 组Barthel 指数均较治疗前升高(P<0.05),且观察组Barthel 指数高于对照组(P<0.05)。结论:活血化瘀益气汤联合中医特色综合护理治疗急性心肌梗死经皮冠状动脉介入术患者可提高临床疗效,加快康复速度,减少并发症,提高患者对医护人员的满意度。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Huoxue Huayu Yiqi tang combined with Chinese medicine characteristic comprehensive nursing for patients with acute myocardail infarction undergoing percutaneous coronary intervention. Methods: A total of 160 cases of patients with acute myocardial infarction undergoing percutaneous coronary intervention were randomly divided into the control group and the observation group, 80 cases in each group. The control group was given routine nursing,and the observation group was treated with Huoxue Huayu Yiqi tang combined with Chinese medicine characteristic comprehensive nursing. Clinical effect, nursing satisfaction, Barthel indexes,Self-rating Anxiety Scale(SAS) scores , Self-rating Depression scale(SDS) scores,the length of hospital stay and the incidence of complications in the two groups were recorded,compared and analyzed. Results:The total effective rate, the nursing satisfaction and the incidence of complications were 92.50%,93.75% and 3.75% respectively in the observation group and 81.25% , 82.50% and 12.50% respectively in the control group, differences being significant(P<0.05). After treatment, the length of hospital stay in the observation group was shorter than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of SAS and SDS between the two groups(P>0.05). After treatment,the scores of SAS and SDS in the two groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P< 0.05). Before treatment,there was no significant difference being found in the comparison of Barthel indexes between the two groups(P>0.05). After treatment,Barthel indexes in the two groups were increased when compared with those before treatment(P<0.05), and Barthel index in the observation group was higher than that in the control group(P<0.05). Conclusion:The therapy of Huoxue Huayu Yiqi tang combined with Chinese medicine characteristic comprehensive nursing for patients with acute myocardail infarction undergoing percutaneous coronary intervention can enhance the clinical effect, speed up the recovery rate,reduce the complications,and improve their satisfaction with medical staff.

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王洋.活血化瘀益气汤联合中医特色综合护理治疗急性心肌梗死经皮冠状动脉介入术患者临床研究[J].新中医,2021,53(15):141-145

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  • 在线发布日期: 2021-08-10
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